HomeMy WebLinkAboutES-BUSINESS PLAN 11/8/2001FACILITY NAME 7- Il f'~c~r Morc~
ADDRESS I"/O I ~0,¢{~-e O 0-c(.
FACILITY CONTACT
INSPECTION TIME
CITY OF BAKERSFIELD FIRE DEPARTMENT
OFFICE OF ENVIRONMENTAL SERVICES
UNIFIED PROGRAM INSPECTION CHECKLIST
1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301
INSPECTION DATE
PHONE NO. 9~3q-
BUSINESS ID NO. 15-210-
NUMBER OF EMPLOYEES
Section 1: Business Plan and Inventory Program
Routine ~ Combined [~ Joint Agency ~ Multi-Agency ~ Complaint ~ Re-inspection
OPERATION C'V COMMENTS
Appropriate permit on hand
Business plan contact information accurate
Visible address L. /
Correct occupancy
Verification of inventory materials X..,
Verification of quantities L,,
Verification of location ,..,,,
Proper segregation of material
Verification of MSDS availability L,
Verification of Haz Mat training L,,'""
Verification of abatement supplies and procedures
Emergency procedures adequate x.,,/ L
Containers properly labeled k.,,
Housekeeping
Fire Protection
Site Diagram Adequate & On Hand
C=Compliance V=Violation
Any hazardous waste on site?:
Explain:
Yes [~ No
Questions regarding this inspection? Please call us at (661) 326-3979
White - Env. Svcs.
Yellow - Station Copy
Pink - Business Copy
Busi~ble Party
'Inspector: ~/~ [/.~d~
CITY OF BAKERSFIELD FIRE DEPARTMENT
OFFICE OF ENVIRONMENTAL SERVICES
UNIFIED PROGRAM INSPECTION CHECKLIST
1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301
FACILITY NAME ~ -It ~ ,,~'~,_.
Section 2: Underground Storage Tanks Program
[] Routine [~ Combined [] Joint Agency
Type of Tank ~)0~
Type of Monitoring ¢ ~ t~
INSPECTION DATE
[] Multi-Agency [] Complaint
Number of Tanks ~
Type of Piping 0tO~
[] Re-inspection
OPERATION C V COMMENTS
Proper tank data on file V/
Proper owner/operator data on file
Permit tees current
Certification of Financial Responsibility lot/
Monitoring record adequate and current
Maintenance records adequate and current
Failure to correct prior UST violations
Has there been an unauthorized release? Yes No
Section 3: Aboveground Storage Tanks Program
TANK SIZE(S) AGGREGATE CAPACITY
Type of Tank Number of Tanks
OPERATION Y N COMMENTS
SPCC available
SPCC on file with OES
Adequate secondary protection
Proper tank placarding/labeling
Is tank used to dispense MVF?
If yes, Does tank have overfill/overspill protection?
C=Compliance V=Violation Y=Yes N=NO
Inspector: _ ~J~/~j ~
Office of Environmental Services (805) 326-3979
White- Env. Svcs.
Pink - Business Copy
FACILITY NAME
AVVRESS i?0 t
FACILITY CONTACT
INSPECTION TIME
CITY OF BAKERSFIELD FIRE DEPARTMENT
OFFICE OF ENVIRONMENTAL SERVICES
UNIFIED PROGRAM INSPECTION CHECKLIST
1715 Chester Ave., 3r~ Floor, Bakersfield, CA 93301
r S. CT O oAT
PHONE NO. °d3q-I 3S"O
BUSINESS ID NO. 15-210-
NUMBER OF EMPLOYEES
Section 1: Business Plan and Inventory Program
[21 Routine '~ Combined 121 Joint Agency . I~ Multi-Agency [21 Complaint [~ Re-inspection
OPERATION C Vi COMMENTS
Appropriate permit on hand
Business plan contact information accurate
Visible address
Correct occupancy
Verification of inventory materials
Verification of quantities
Verification of location
Proper segregation of material
Verification of MSDS availability
Verification of Haz Mat training
Verification of abatement supplies and procedures
Emergency procedures adequate
Containers properly labeled
Housekeeping
Fire Protection
Site Diagram Adequate & On Hand
C=Compliance V=Violation
Any hazardous waste on site?: [~ Yes ~l No
Explain:
Questions regarding this inspection? Please call us at (661) 326-3979
White - Env. Svcs. Yellow. Station Copy Pink - Business Copy
Business Site//Re~onsible Party
Inspector: ~ ~.~g~
Bakersfield Fire Dept.
Hazardous Materials Inspection
Date Completed
Business Name: 7- t I ~F'O FL~
Location: t 701 ?~h~c(~ Ccc]
Plan ID # 215-000 ~0 q (Top right comer Business Plan)
Station No.
SEP 2 7 !990
H,a.7_.. MAT. DIV.
Adequate Inadequate
Verification of Inventory Materials
Verification of Quantities
Verification of Location
Proper Segregation of Material
Comlnents:
Verification of MSDS Availability
Number of Employees
Verification of Haz ,v,,~L ,~aining'
Comments:
Verification of Abatement Supplies & Procedures
ComlTtents:
Emergency Procedures Posted
Containers Properly Labeled
Comments: N ~ S
Verification of Facility Diagram
'Vt) ?0ST'
Special Hazards Associated with this Facility:
Violations:
FD 1652 (Rev. 3-89) White-Haz Mat Div. Yellow-Station Copy Pink-Business Office
HAZA MATERIALS INSPECTION
I'NSPIECTTON DATE:
VERIFICATION OF I~R¥ MATI~IALS
V'~RTF'rCATTON OF QUANTTTTF~
VERTFTCATION OF LOCATION
PROPER S~TION OF NA~
VILIFICATION OF Ritz NAT 'I'RAXN~
VERIFICILTI(~ OF FACIiLITY D~,GRJ~I
SPECIA~ ~tZARDS ASSOCIA~ NITH THIS FACILITY:
VIOLATIONS:
CITY OF BAKI~SFIELD
OFFICE OF ENVIRONMENTAL SERVICES
1715 Chester Ave., Bakersfield, CA (661) 326-3979
INSPECTION RECORD
POST CARD AT JOB SITE
Facility
Phone No.
INSTRUCTIONS: Please call for an inspector only when each group of inspections with the same number are ready. They will run in consecutive order beginning with
number I. DO NOT cover work for any numbered group until all items in that group are signed offby the Permitting Authority. Following these instructions will reduce the
number of required inspection visits and therefore prevent assessment of additional tees.
TANKS AND BACKFILL
INSPECTION I DATE I INSPECTOR
/~ Backfill of Tank(s)
~/~ Spark'Test Certification or Manufactures Method
'~f~ Cathodic Protection of Tank(s)
PIPING SYSTEM
Piping& Raceway w/Collection Sump A~t,~
Corrosion Protection of Piping, Joints, Fill Pipe
Electrical Isolation of Piping From Tank(s)
Cathodic Protection System-Piping
Dispenser Pan
SECONDARY CONTAINMENT, OVERFILL PROTECTION, LEAK DETECTION
Liner Installation - Tank(s)
Liner Installation - Piping
Vault With Product Compatible Sealer
Level Gauges or Sensors, Float Vent Valves
Product Compatible Fill Box(es)
Product Line Leak Detector(s)
Leak Detector(s) for Annual Space-D.W. Tank(s)
Monitoring Well(s)/Sump(s) - H20 Test
- Leak Detection Device(s) for Vadose/Groundwater
l.~I~' Spill Prevention Boxes
FINAL
Monitoring Wells, Caps & Locks
Fill Box Lock /,
Monitoring Requirements Typ ~ '
Authorization for Fuel Drop
CONTRACTOR
CONT^CT
UCENS~# '/l" t, oAg~G,